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25-09-2024 | Knee Osteoarthritis | Original Article–Orthopedics

Relationship between ultrasonographic findings and subscales of the Knee Injury and Osteoarthritis Outcome Score in patients with early knee osteoarthritis: a multicenter study

Authors: Yushin Mizuno, Yasushi Takata, Yosuke Shima, Kenichi Goshima, Kazunari Kuroda, Tomoyuki Kanayama, Yoshihiro Ishida, Naoki Takemoto, Manase Nishimura, Takuya Sengoku, Satoru Demura, Junsuke Nakase

Published in: Journal of Medical Ultrasonics

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Abstract

Purpose

To characterize the ultrasonographic findings of patients with early knee osteoarthritis (KOA) and determine which findings were associated with the Knee Injury and Osteoarthritis Outcome Score (KOOS) subscale.

Methods

The study included 98 knees (35 men, 63 women, 60.3 ± 11.5 years) diagnosed with early KOA with no major deformity radiographically, but with pain during activity and tenderness in the medial knee. Synovial hyperplasia in the suprapatellar bursa, knee joint effusion, horizontal tear of the medial meniscus (MM), osteophytes of the medial condyle of the femur and tibia, blood flow signals in the synovium of the suprapatellar bursa, medial collateral ligament bursa, infrapatellar fat pad, MM extrusion (MME) in the supine and upright positions, and the amount of change in MME were observed using ultrasonography.

Results

Correlations (p < 0.05) were found between the presence of synovial hyperplasia of the suprapatellar bursa (r<-0.20) and amount of MME in the upright position (r< − 0.24) and all KOOS subscales. Presence of joint effusion and the four KOOS subscales except quality of life (QOL) were correlated (p < 0.05). Partial correlation coefficients showed correlations (p < 0.05) between knee joint effusion and symptoms (r = 0.299) and activities of daily living (ADL) (r = 0.254) of the KOOS subscales, and between MME in the upright position and symptoms (r= − 0.263), pain (r= − 0.256), and ADL (r= − 0.212).

Conclusion

Quality and difficulty of life of patients with early KOA may be influenced by synovial hyperplasia in the suprapatellar bursa, joint effusion, and MME values in the upright position. Among them, synovial hyperplasia of the suprapatellar bursa and amount of MME in the upright position were independently associated with the KOOS subscales.
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Metadata
Title
Relationship between ultrasonographic findings and subscales of the Knee Injury and Osteoarthritis Outcome Score in patients with early knee osteoarthritis: a multicenter study
Authors
Yushin Mizuno
Yasushi Takata
Yosuke Shima
Kenichi Goshima
Kazunari Kuroda
Tomoyuki Kanayama
Yoshihiro Ishida
Naoki Takemoto
Manase Nishimura
Takuya Sengoku
Satoru Demura
Junsuke Nakase
Publication date
25-09-2024
Publisher
Springer Nature Singapore
Published in
Journal of Medical Ultrasonics
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-024-01498-w